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Autonomous Methadone Delivery System by Nurses

RecruitingNAAges 18 Years - anyAllHospices Civils de Lyon
NCT07085377 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Initiations of methadone treatment for opiode use disorder (OUD) are carried out in France in specialized centers, known as centers for care, support and prevention in addictology (CSAPA) In this way, hospital practitioners initiate the prescription of methadone, which is delivered on the spot by the nursing team. CSAPA nurses, and addictology nurses more generally, have a real range of skills which can include adapting treatment doses according to a protocol pre-established in a team, and medically validated (French law no. 2019-774 of July 24, 2019 relating to the organization and transformation of the healthcare system). The methadone speciality used for initiation in CSAPAs is almost always the syrup form. The capsule form can only be used after one year's treatment, unless exceptionally authorized by the medical officer of the French National Health Insurance Fund. However, regulat

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📋 Eligibility rules (as published)
Inclusion Criteria: * Subject 18 years of age or older, * With opioid use disorder (OUD) according to DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) criteria (other authorized psychoactive substance use), * Intending to start methadone treatment for OUD in a CSAPA center within 7 days, * Agreeing to be followed up in a CSAPA over the next 3 months, Exclusion Criteria: * Having taken methadone treatment (on prescription) in the three months prior to inclusion, * Simultaneous medical care in another addictology facility, * with a day-hospital project, * Referral to town prescriber or town pharmacy planned and/or requested by patient before 3 month, * Non-stabilized psychiatric disorder or cognitive impairment likely to compromise compliance and involvement in care (at investigator's discretion), * Inability to communicate and express themselves in French language, * Subject to a legal protection measure other than curatorship, * Pregnant or breast-feeding.
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What it tests

  • DIADEME strategy
  • Controle strategy
  • Individual semi directive interview
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Where

8 sites
CSAPA, Association Bizia, Centre Hospitalier de la Côte Basque
Bayonne, France
CSAPA, Service d'Addictologie, Centre Hospitalier Charles Perrens, CHU de Bordeaux
Bordeaux, France
CSAPA de Brioude
Brioude, France
CSAPA, Association Nationale de Prévention en Alcoologie et Addictologie (ANPAA), Résidence Le Victor Hugo
Le Puy-en-Velay, France
CSAPA, Service Universitaire d'Addictologie de Lyon, Hôpital Edouard Herriot, Hospices Civils de Lyon
Lyon, France
CSAPA, Hôpital de la Croix Rousse, Hospices Civils de Lyon
Lyon, France
CSAPA, Service de Psychiatrie et d'Addictologie, Hôpital Civil, CHRU de Strasbourg
Strasbourg, France
CSAPA du Griffon, Oppelia Aria 69
Villeurbanne, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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